Ingabe i-Gardnerella Vaginalis esithweni sakho sangasese yinto okufanele uyikhathazeke? Ake sixoxe ngayo!

Wake wezwa ngegama elithi `Gardnerella vaginalis`? Mhlawumbe uke wezwa ngalo kudokotela wakho noma kumngane wakho. Ukuzwa leli gama kungenza abanye abantu bazizwe besaba kancane, "Ingabe lokhu uhlobo oluthile lwesifo?" Kodwa empeleni yibhaktheriya evamile etholakala esithweni sangasese somuntu wonke . Ngakho-ke ngaphambi kokuba wethuke, ake silazi kangcono.

Kuyini i-'Gardnerella vaginalis'? Kalula nje...

Kalula nje, i-'Gardnerella vaginalis' uhlobo lwebhaktheriya elihlala ngaphakathi kwesitho sakho sangasese sowesifazane. Yebo, uzwile kahle, yibhaktheriya . Kodwa akuwona wonke amabhaktheriya amabi. Imizimba yethu, ikakhulukazi ezindaweni ezifana nesitho sangasese sowesifazane, inamabhaktheriya amahle kanye namanye amabhaktheriya amabi. Konke lokhu ndawonye kwakha lokho okubizwa ngokuthi 'izitshalo zesitho sangasese sowesifazane' noma 'i-microbiome'.

Cabanga ngesitho sakho sangasese sowesifazane njengengadi encane. Njengoba nje kunezinhlobo ezahlukene zezitshalo kule ngadi, kunezinhlobo ezahlukene zamagciwane esitho sakho sangasese sowesifazane. Lawa magciwane ahlala ngokulinganisela okubucayi komunye nomunye. Uma nje lokhu kulinganisela kulungile, isitho sakho sangasese sowesifazane siphilile futhi sivikelekile ezifweni. I-'Gardnerella vaginalis' iyilungu elilodwa nje lale ngadi.

Ngakho-ke, uyini umsebenzi waleli gciwane elithi 'Gardnerella'?

Ungase ucabange, "Pho, kuyini ukubaluleka kokuba nala magciwane?" Yebo, anawo! Umsebenzi oyinhloko wala magciwane esithweni sangasese sangasese ukugcina isitho sangasese sangasese siphilile. Bafana nabaqaphi abancane.

Esikhathini esidlule, lapho ososayensi bethola i-'Gardnerella vaginalis' cishe ngo-1955, babecabanga ukuthi iyibhaktheriya elibi, elibangela ukutheleleka. Kodwa ucwaningo lwamuva lukhombisile ukuthi indaba ayilula kangako. Ngoba i-'Gardnerella' ikhona ezithweni zangasese zabantu abanezifo zesitho sangasese sowesifazane kanye nabantu abanempilo abangenazo izifo . Lokhu kusho ukuthi i-'Gardnerella' yodwa ayinakuba nesibopho sokutheleleka kwesitho sangasese sowesifazane. Kuncike kakhulu ekutheni leli bhaktheriya le-'Gardnerella' lilingana kanjani namanye amabhaktheriya amahle, njenge-'Lactobacillus'.

Enye into ukuthi i-'Gardnerella' iyasiza futhi ekugcineni inani le-'pH' elinempilo, okungukuthi, izinga le-asidi elinempilo, oketshezini olusesithweni sangasese sowesifazane. Inani le-'pH' lesitho sangasese sowesifazane esinempilo ngokuvamile liphakathi kuka-3.8 no-4.5. Uma lobu asidi busezingeni elifanele, kunzima ukuthi amagciwane abangela ukutheleleka akhule lapho. Ngakho-ke, leli qoqo lamagciwane esitho sangasese sowesifazane lisebenza ukugcina leli zinga le-asidi. Kodwa-ke, uma ngesizathu esithile leli zinga le-asidi lehla futhi inani le-'Gardnerella' landa kakhulu, khona-ke ukutheleleka kungavela.

Itholakala kuphi ngempela i-'Gardnerella vaginalis' emizimbeni yethu?

Lokhu cishe sekucacile kuwe manje. I-'Gardnerella vaginalis' ihlala ngaphakathi kwesitho sakho sangasese sowesifazane. Iyilungu elivamile 'lezitshalo zesitho sangasese sowesifazane', okungukuthi, ihlala kanye nezinye izinto eziphilayo ezihlala lapho.

Yini ebangela ukwanda kwe-'Gardnerella vaginalis'? Ingabe lokhu kuyathelelana?

Nakhu okumele ukukhumbule: I-Gardnerella vaginalis akuyona into "ongayibamba" komunye umuntu. Iyingxenye yemvelo yendawo yakho yangasese . Inkinga ivela kuphela uma inani lamagciwane e-Gardnerella landa kakhulu . Uma lokho kwenzeka, ungaba nokutheleleka kwangasese okubizwa ngokuthi i-Bacterial Vaginosis (BV).

Wazi kanjani ukuthi izinga lakho le-'Gardnerella vaginalis' alilingani? Ziyini izimpawu?

Uma igciwane le-Gardnerella liqala ukukhula kakhulu, ungase ube nezimpawu zesimo esibizwa ngokuthi i-Bacterial Vaginosis (BV). Ungase ubone izinguquko ekuphumeni koketshezi lwesitho sakho sangasese sowesifazane. Isibonelo:

• Ukuphuma kwamanzi kungase kubonakale kumhlophe, kumpunga, noma kuluhlaza.
• Kungase kube nephunga elibi, elifana nephunga lenhlanzi . Leli phunga lingase libe libi kakhulu ngemva kocansi noma ngesikhathi sokuya esikhathini.
• Ngezinye izikhathi ungase uzizwe ukulunywa noma ukusha endaweni yesitho sangasese sowesifazane.

Kodwa-ke, abanye abantu bangaba ne-BV ngaphandle kwezimpawu , ngakho-ke kungcono ukubona udokotela uma unenkinga.

Ingabe i-'Gardnerella' kanye ne-'Bacterial Vaginosis (BV)' ziyinto efanayo?

Cha, azifani, kodwa zihlobene . Ukuba namagciwane amaningi e-Gardnerella oketshezini lwakho lwesitho sangasese sowesifazane kuyisibonakaliso sokuthi ungase ube ne-BV. I-BV yenzeka lapho ibhalansi yamagciwane agcina isitho sakho sangasese sowesifazane siphilile iphazamiseka . Lokhu kuvame ukwenzeka lapho kunokungalingani phakathi kwezinhlobo ezimbili eziyinhloko zamagciwane esitho sakho sangasese sowesifazane.

Abantu abane-BV banamazinga aphansi amabhaktheriya amahle abizwa ngokuthi i-Lactobacilli ezithweni zabo zangasese, kanye namazinga aphezulu amabhaktheriya aseGardnerella. Ama-Lactobacilli yiwona amabhaktheriya asiza ukugcina isitho sangasese sangasese sine-asidi. Uma lawa ma-Lactobacilli ephansi, i-pH yesitho sangasese sangasese ikhuphuka ngaphezu kuka-4.5, okusho ukuthi iba ne-asidi encane.

Kule ndawo engena-asidi eningi, amabhaktheriya e-`Gardnerella` aqala ukwanda ngokushesha. Amanye amabhaktheriya nawo anamathela kule 'Gardnerella' futhi akhule ndawonye. Yilapho uthola khona i-`BV`. Kodwa khumbula, i-`Gardnerella` yodwa ayibangeli i-`BV` . I-`BV` ibangelwa ukungalingani kwezitshalo zamabhaktheriya zesitho sangasese sowesifazane.

Ingabe i-'Gardnerella vaginalis' iyisifo esithathelwana ngocansi (STI)?

Cha. I-`Gardnerella vaginalis` akuyona 'igciwane elithelelana ngokocansi (STI)'. Eqinisweni, akunakwenzeka ukusho ngokuqiniseka ukuthi ukwenza ucansi kuphela kubangela ukukhula ngokweqile kwebhaktheriya 'ye-Gardnerella' noma 'i-BV'. Lokhu kungenxa yokuthi ngisho nabantu abangasebenzi ngokocansi bangakhula ngokweqile kwebhaktheriya 'ye-Gardnerella' bese beba 'BV'.

Khumbula, ukuba ne-Gardnerella vaginalis esithweni sakho sangasese akusho ukuthi unesifo. I-Gardnerella ikhona nasezithweni zangasese ezinempilo . Lokhu akufani nezinye izifo ezithathelwana ngocansi; ukuba khona kwamagciwane noma igciwane emzimbeni wakho kuyisifo.

Kodwa-ke, yize iGardnerella ingeyona igciwane elibangela i-STI, ucansi aluyona into ebangela i-BV. Kungaba yinto ebangela ingozi. Nakuba izimbangela eziqondile ze-BV zingakacaci, uma unabalingani abaningi bocansi, noma uma unomlingani omusha wocansi, kungenzeka kakhulu ukuthi ube ne-BV.

Ungahlola kanjani izinga le-'Gardnerella vaginalis'?

Udokotela wakho angathatha isampula encane yoketshezi lwakho lwesitho sangasese sowesifazane bese eluhlola ngaphansi kwe-microscope ukuze abone ukuthi kunamagciwane amaningi kakhulu e-Gardnerella vaginalis noma ukuthi kukhona yini amangqamuzana akhethekile abizwa ngokuthi “amaseli e-clue” ahlotshaniswa ne-BV.

Yiziphi izindlela zokwelapha uma inani le-'Gardnerella' lingaphilile?

Uma une-'Gardnerella vaginalis' engalingani esithweni sakho sangasese futhi une-'BV', akuwona umqondo omuhle ukuyishiya ingelashwa . I-'BV' engelashwanga ingaholela ezinkingeni ezithile. Isibonelo:

• Izinkinga zokukhulelwa njengokuphuphuma kwesisu noma ukubeletha ngaphambi kwesikhathi ngesikhathi sokukhulelwa.
• Ingozi eyengeziwe yokuthola ezinye izifo ezithathelwana ngocansi (izifo ezithathelwana ngocansi).
• Izimo ezifana `neSifo Sokuvuvukala Kwesitho Sangasese Sowesifazane (PID)`.

Udokotela wakho cishe uzokunikeza ama-antibiotic ukuze abuyisele amazinga e-Gardnerella futhi elaphe i-BV. Lawa anganikezwa njengamaphilisi omlomo noma njengemithi yangaphakathi kwesitho sangasese sowesifazane.

Okubalulekile: Kubaluleke kakhulu ukuthatha yonke imithi elwa namagciwane enqunywe udokotela. Ungayeki ukuyithatha ngoba nje izimpawu zakho seziphelile.

Kusho ukuthini uma uthola umphumela omuhle wokuhlolwa kwe-`Gardnerella`?

Lokhu kuyiphutha elivamile. Wonke umuntu one-vagina une-bacteria ethile i-Gardnerella esithweni sakhe sangasese. Ngakho-ke, ukuthi nje uhlolwe ukuthi une-Gardnerella akusho ukuthi unesifo. Kuba yinkinga kuphela uma kune-bacteria engaphilile noma engalingani esithweni sakho sangasese. Yilapho unesifo esibizwa ngokuthi i-BV.

Amanye amathiphu okugcina i-flora yesitho sangasese sowesifazane iphilile

Lezi zinto zingasiza ekugcineni ibhalansi enempilo yamagciwane esithweni sakho sangasese sowesifazane:

• Ungafaki i-douche: Isitho sakho sangasese sowesifazane singagcina izinga elinempilo lamagciwane ngokwaso. Ukuyibeka i-douche kungaphazamisa ibhalansi yamagciwane esitho sakho sangasese sowesifazane, okuholela ekuthelelekeni.
• Sebenzisa amakhondomu noma amadamu amazinyo ngesikhathi socansi: Ucansi olungavikelekile lungaphazamisa izitshalo zesitho sangasese sowesifazane futhi luholele ezimweni ezifana ne-'BV'.
• Nciphisa inani labalingani bocansi: Ukuba nabalingani abaningi bocansi kwandisa ingozi yokutheleleka.
• Ungasebenzisi insipho enephunga noma izifutho zokuhlanzeka kwabesifazane endaweni yesitho sangasese sowesifazane: Lokhu kungashintsha i-pH yesitho sangasese sowesifazane futhi kuphazamise ibhalansi yamagciwane. Kwanele ukusebenzisa amanzi alula kanye nensipho ethambile, engenaphunga ukuhlanza ingaphandle.
• Gwema ukugqoka izingubo zangaphansi eziqinile noma izingubo zangaphansi ezenziwe ngezindwangu zokwenziwa: Lokhu kunciphisa umoya, kubambe umswakama, futhi kungakhuthaza ukukhula kwamagciwane. Khetha izingubo zangaphansi ezenziwe ngezindwangu zemvelo njengokotini.

Ingabe ukuba ne-'Gardnerella' kusho ukuthi une-'HPV' (i-human papillomavirus)?

Cha. Abacwaningi bezempilo basacwaninga ukuthi ngabe kukhona yini ukuxhumana okuqondile phakathi kokutheleleka kwe-'Human Papillomavirus (HPV)' kanye ne-'Gardnerella'. Akukacaci okwamanje. Ngakho-ke, asikho isidingo sokwesaba i-'HPV' uma usuyazi ukuthi une-'Gardnerella'.

Ungesabi uma uthola ukuthi amazinga ebhaktheriya yakho ye-Gardnerella vaginalis awajwayelekile. Lolu uhlobo oluvamile lwamabhaktheriya okufanele abe khona esithweni sakho sangasese . Uma udokotela wakho ekutshela ukuthi une-Gardnerella excessive growth, noma i-Bacterial Vaginosis (BV), khumbula ukuthi yisimo esingelapheka . Inkambo yama-antibiotic ingabuyisela izitshalo zakho zesitho sangasese sangasese ezingeni elinempilo cishe ngesonto.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ake siphinde sixoxe ngamaphuzu ayinhloko okudingeka uwakhumbule kulokho esikhulume ngakho:

• I-'Gardnerella vaginalis' iyibhaktheriya evame ukutholakala esithweni sangasese sowesifazane . Ukuba khona kwayo akuyona inkinga.
• Inkinga kuphela ukuthi ibhalansi phakathi kwaleli bhaktheriya namanye amabhaktheriya amahle iyalahleka .
• Uma lokhu kulinganisela kuphazamiseka futhi i-Gardnerella ikhula, kungenzeka ukutheleleka okubizwa ngokuthi i-Bacterial Vaginosis (BV).
• Uphawu oluyinhloko lwe-BV ukuphuma koketshezi lwesitho sangasese sowesifazane okungavamile okunephunga elifana nelenhlanzi . Kodwa-ke, abanye abantu bangase bangabi nazimpawu nhlobo.
• I-`Gardnerella vaginalis` akuyona isifo esithathelwana ngocansi (STI) .
• I-BV ingelashwa kalula ngama-antibiotic .
• Izinto ezinjengokungahlanzi i-douche, ukwenza ucansi oluphephile, kanye nokungasebenzisi insipho eqinile eduze kwesitho sangasese sowesifazane kusiza ekugcineni impilo yesitho sangasese sowesifazane.

Uma uneminye imibuzo noma ukukhathazeka ngalokhu, kungcono ukukhuluma nodokotela wakho.

I- Gadnarella vaginalis, i-bacterial vaginosis, izifo zesitho sangasese sowesifazane, uketshezi lwesitho sangasese sowesifazane, impilo yabesifazane, i-pH yesitho sangasese sowesifazane, i-lactobacilli